LIST OF ACRONYMS.   AIDS               Acquired Immune Deficiency Syndrome   APHIA            AIDS Population and Health Integrated Assistance Program   CAFOD          Catholic Fund For Overseas Development   CDF                Constituency Development Fund   ECG               Electro Cardiograph Machine   HBC               Home Community Based Care   HIV                 Human Immuno-deficiency Virus   IGAS               Income Generating Activities   KCPE             Kenya Certificate of Primary Education   MCH               Mother and Child Health   MOH               Ministry of Health   OG                  Orphan Guardian   OLF                Olive Leaf Foundation   OVC               Orphans and Vulnerable Children   PLWHIV         People Living With HIV   VCT                Voluntary Counselling and Testing   WAD               World Aids Day   WFP               World Food Programme             The Health Department has continued to offer her services to the people in need. Her main activities go around promotive, preventive, curative and rehabilitative  to achieve full health of human being.   The year started with a lot of challenges after the phase out of the major partner for HBC/OVC Programme.  However, through the Graces of our loving father, a lot has been   achieved.   HEALTH UNITS REPORT. Mutomo Mission Hospital. Routine curative, promotive, preventive and rehabilitative services continued  A Clinical officer and a nurse have been seconded.  They had left the facility and the hospital administrator could not  trace them.  Another lot of 12 nurses have been employed by CDF.  We hope that they will be retained in our hospital as per our request to the DMOH.   Fencing of the hospital has been done (wall fence)   Muthale Misson Hospital Routine curative, promotive, preventive and rehabilitative services continued A  nurse and a Pharmacist have been seconded, unfortunately they had already left Muthale before we received the communication.  We are trying to push for replacement of the two through KCS. A letter has been sent to the Director of Medical Services requesting for a secondment of a Doctor for Muthale Through Bishops office we received 100 bed sheets donation Physiotherapy materials purchased Purchase of the incubators. Donation of washing machine from Little Sisters of St. Francis. An interview of a doctor was carried out early this month on 7th April 2010.  The plan is to employ a Kenyan residential doctor.  He visited the hospital on Monday the 26th April 2010 and  will report officially on 1st June 2010. Dr. Rilly from Singapore will be coming to Muthale for two weeks in June courtesy of His Lordship Anthony Muheria.   Sacred Heart of  Jesus – Kanyangi. Offering curative, promotive and preventive. The nurse incharge has been seconded by the MOH (CDF)   St. Joseph’s Dispensary – Kavisuni. Has really grown and offering many services and reaching many people than before Started outreach at Masimba 1 Nurse has been seconded by MOH (CDF) Fencing of the unit has been contracted to the Polytechnic   Mulutu Dispensary. Offering curative, promotive and preventive.   Mutune Dispensary Offering curative, promotive and preventive.   Zombe Dispensary Nurse incharge has been seconded by MOH (CDF)   Mutito Dispensary 1 Nurse has been seconded by MOH (CDF)   Kamuwongo Dispensary. Offering curative, promotive and preventive.   Nuu and Kimangao Dispensaries. The Parish Priests have the report since the units are in low profile.   Nguutani Dispensary. This dispensary since it’s opening  has faced a challenge of staff turn-over.  The unit is very potential for growth.  The maternity wing is on progress.  There is a Dr. Richard, Fr. Maanzo’s friend serving the community in the month of May 2010 and has brought with him an ultrasound machine and currently is the one using it to examine people but we are looking for somebody to continue the services after he leaves.  Other details will be communicated.  There is also an ECG machine which is not utilized.   HBC/OVC PROGRAMME. Vivianne Mawia Mulonzia the Programme officer has secured a vacancy with the MOH.  Through the efforts of KCS we are trying to see if she can be seconded in the same post. Achievements. Retained 16  salaried staff We have 1 volunteer a     sister by the name Sr. Anita who assists at Mwingi Homecare 3 days per week. We have reached 10856 OVC and 9636 beneficiaries with  Psychosocial, Nutritional, Health and legal support Managed to procure the below food stuff with GOAL for the beneficiaries  Supplies   Quantity received Cowpeas 680 Bags of 50 Kgs each Unimix 1360 Bags of 25Kgs each   Maize 867 Bags of 90 Kgs each Cooking Oil 725 Carton of 4x5 Litres   2 ·         Through GOAL also, 40 groups benefited with green houses.  See the attached list. ·         APHIA II Eastern extended the funding upto December 2010.  Support groups are as in the previous AGM report.   WAD 2009. This activity was organized and celebrated in 18 strategic areas in the Diocese.  A part from health education, VCT services were offered to some centres reaching 1458 with counselling.  730 with testing and 23 who turned positive were referred for the support care.   LIVELIHOOD PROJECT. This is a short term programme funded by Caritas Luxembourg through CAFOD on sustainable interventions after the CAFOD’s withdrawal.   The project ends on 30th  June 2010.   Below are the achievements:- A group in  Nguutani of 30 members has benefited each member with 10 goats and another 34 have been trained on goats husbandry and are awaiting to receive the goats.  Nguutani groups is very big therefore modalities are being made how the rest will benefit from the goat project. 30 members of Ngomeni received modern bee hives and trained on bee keeping and are yet to be registered as an enterprise. 20 beneficiaries in Nuu Parish received modern bee hives and trained on the same Mbitini OG/PLWHIV in conjunction with the Parish are constructing a pharmacy and the drugs already purchased in the  office awaiting completion. Mutomo OG/PLWHI have been trained and their aloevera farms expanded with improved species of Alovera and  Seccud flora. Extraction machine and blender already purchased for the group. Registration of the group as an enterprise on the way.  The group will be producing Aloevera products eg soap, juice, shampoo and oil among others and sell to the community.  The group has been doing production in small scale therefore  with this boast its our  prayer that will produce more and support the OVC in their households.   NB:  These are four major projects in the community as IGAs therefore we are making a passionate appeal to you to support them.   SUPPLEMENTARY FEEDING PROGRAMME. This programme benefited only 8 parishes namely ·         Boma  for elderly one as the other categories ie under fives and PLWHIV was covered for by WFP (MCH) programme, Kavisuni , Kanyangi , Ikutha (Kamutei)    Mutomo Parish(Voo), Nuu , Kimangao and Kamuwongo parishes.   The other 7 centers targeted under fives, PLWHIV, elderly and people with special needs.  This programme ended in April 2010 though Nuu, Kamuwongo and Kimangao Parishes are yet to receive their unimix supplies due to delayed procurement  but hopefully they will get their share soon. 3 OLF (Olive Leaf Foundation) This is a new partner that has come on board in the HBC/OVC Programme.  Its also a USAID Funded Programme therefore areas where APHIA II Eastern has reached cannot be covered.  We are therefore targeting beneficiaries in this programme at:- Kiusyani Mui Kyaango Voo Mathuki   Total OVC to be targeted are 3900.   The programme runs for six months.    CHALLENGES. ·         Staff turn over ·         Vehicle breakdown ·         High number of beneficiaries versus limited resources ·         64 programme OVC scored 300 marks and above in their KCPE  but we could not support their secondary education   ACKNOWLEDGEMENT. We sincerely thank you for your continuous support especially on care and support of infected and affected. Hosting workshops and facilitating school health programmes Preparation and participation on WAD and World Day of the sick Thanks to all our donor partners and stakeholders for their support. To all staff and beneficiaries for their dedication in healing ministry.   Thank you and God bless.                                 4